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带状疱疹多发于老年人,中青年人发病相对少,胸部发病多见,头、面及耳部少见。现就1例带状疱疹误诊进行分析。1 病历摘要患者某女,45岁,因右侧牙痛、耳痛2 d、头痛、下颌部皮疹1 d就诊,曾诊断为牙龈炎、中耳炎给予甲硝唑、阿莫西林口服效果不佳。1 d前出现右侧头部阵发性、放射性疼痛,疼痛就烈且逐渐加重,严重时停下一切活动,要用力压住疼痛部位,疼痛持续时间2~3 min;右耳疼痛加剧,耳廓一碰就痛,右耳听力下降,并出现下颌部皮疹而就诊,体查:体温36.5℃,脉搏80
Shingles often occur in the elderly, young and middle-aged people are less common, chest disease more common, head, face and ear rare. Now a case of herpes zoster misdiagnosis. A case history female patient, 45 years old, because of right toothache, earache 2 d, headache, mandibular rash 1 d treatment, has been diagnosed as gingivitis, otitis media given metronidazole, amoxicillin oral ineffective. 1 d before the emergence of the right paroxysmal head, radioactive pain, severe pain and gradually aggravated, stopped all activities in severe cases, forced to suppress the pain site, the pain duration 2 ~ 3 min; right ear pain worsened ears Contour touch pain, right ear hearing loss, and the emergence of the rash of the lower jaw and treatment, physical examination: body temperature 36.5 ℃, pulse 80